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Organization
DENTISTRY FOR CHILDREN OF SOUTH CAROLINA PC
Active
Organization
DENTISTRY FOR CHILDREN OF SOUTH CAROLINA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JO ANN RICE (CREDENTIALING DIRECTOR)
(470) 881-8679
Entity
Organization
Contact information
Practice address
1767 S LAKE DR, STE A, LEXINGTON, SC 29073-6734
(404) 389-1950
Mailing address
2970 BRANDYWINE RD STE 200, ATLANTA, GA 30341-5549
(770) 692-1000
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN013607
GA
Other
Enumeration date
05/27/2014
Last updated
11/28/2025
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